Organization
GEORGIA CENTER FOR AESTHETIC PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANA M LUGO MD (OWNER)
(706) 705-2765
Entity
Organization
Contact information
Practice address
2053 EXPERIMENT STATION RD, BUILDING 300, WATKINSVILLE, GA 30677
(706) 705-2765
Mailing address
2053 EXPERIMENT STATION RD, BUILDING 300, WATKINSVILLE, GA 30677
(706) 705-2765
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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